Sunrise Leasing service Property Management Company specializing Single Family homes, Condos, and Apartments looking for new Property Manager you’ll soon find out developed the reputation hardest working company in Beaumont.
Sunrise Leasing service Property Management Company specializing Single Family homes, Condos, and Apartments looking for new Property Manager you’ll soon find out developed the reputation hardest working company in Beaumont.
Ethical Treatment Centers have been pushed aside by the dearth of unethical and shady operations in California and Florida. So, how to find the right place for your or a loved one?
Ten years ago, prescription painkiller dependence swept rural America. As the government cracked down on doctors and drug companies, people went searching for a cheaper, more accessible high. Now, many areas are struggling with an unprecedented heroin crisis.
Giles Cancer Study | A Method for using Hypnotism with Persons Living with Ca...R. Adhi Noegroho
This essay is an overview of the model of Complementary Medical Hypnotism I employ in my professional work. As I have come to be well-known as a hospital and medically-based practitioner I frequently receive requests for information about my work, especially research findings that support it. This essay submitted for my Fellow examination in the National Guild of Hypnotists contains that information, and I hope the Guild will feel free to distribute it.
Ethical Treatment Centers have been pushed aside by the dearth of unethical and shady operations in California and Florida. So, how to find the right place for your or a loved one?
Ten years ago, prescription painkiller dependence swept rural America. As the government cracked down on doctors and drug companies, people went searching for a cheaper, more accessible high. Now, many areas are struggling with an unprecedented heroin crisis.
Giles Cancer Study | A Method for using Hypnotism with Persons Living with Ca...R. Adhi Noegroho
This essay is an overview of the model of Complementary Medical Hypnotism I employ in my professional work. As I have come to be well-known as a hospital and medically-based practitioner I frequently receive requests for information about my work, especially research findings that support it. This essay submitted for my Fellow examination in the National Guild of Hypnotists contains that information, and I hope the Guild will feel free to distribute it.
14 RESEARCH HEALTHCARE Counselling and Psychotherapy Jour.docxaulasnilda
14 RESEARCH HEALTHCARE Counselling and Psychotherapy Journal October 2018
SEX ADDICTION:
THE SEARCH FOR
A SECURE BASE
JOANNA BENFIELD PROPOSES AN
ATTACHMENT-BASED APPROACH
TO WORKING WITH
SEXUAL COMPULSIVITY
UNDERSTANDING SEX ADDICTION
For many therapists with no specialised
training in psychosexual therapy or
addiction treatment, a client’s
pronouncement that they are a sex addict
might cause alarm bells to ring. A number
of questions are likely to spring to mind:
does such a diagnosis actually exist? If it
does exist, how do we recognise it? And,
what is the most effective way of treating it?
The jury is still out on whether sex
addiction can be seen as a true addiction
or even mental disorder. The World
Health Organisation recently included
‘compulsive sexual behaviour disorder’
as an impulse-control disorder in the
International Classification of Diseases
(ICD-11),1 but the American Psychiatric
Association failed to recognise sex
addiction in the latest version of the
Diagnostic and Statistical Manual of
Mental Disorders (DSM-5).2 There was
disappointment among many sex addiction
therapists at this omission from the DSM-5
as, on a daily basis, they come face to face
with individuals who suffer greatly as
a result of their out-of-control sexual
behaviour. For some clients, this might take
the form of prolific pornography use, while
for others, it might be weekly visits to
escorts or a never-ending stream of
one-night stands. It is not the behaviour
per se that is the marker of sex addiction,
but rather the negative impact that it has
on the individual’s life. For these clients,
rather than being a pleasurable experience,
sex is used compulsively to relieve
negative emotional states and, as a result,
often causes significant distress.3 Despite
this distress, they feel unable to stop the
behaviour. Clients usually only walk into
the therapist’s consulting room once the
addiction has become completely
unmanageable, for example because it
has resulted in loss of employment due
to pornography use on work computers,
financial ruin due to numerous escort
visits or marriage breakdown due to
multiple affairs.
Whether or not we wish to use the term
‘sex addiction’, or prefer to refer to this
as out-of-control sexual behaviour,
hypersexuality or sexual compulsivity,
what is clear is that it poses a significant
problem for an ever-growing number
of people. The availability of free online
pornography and ‘hook-up’ apps has
done nothing to alleviate the problem.
We are likely, therefore, to see an
increasing number of clients walking
through our doors for whom out-of-control
sexual behaviour causes mental and
emotional distress.
Most sex addiction treatment strategies
are based on a cognitive-behavioural
approach.4 Sex addiction therapists will
typically work with clients to help them
to identify their addiction cycle, recognise
the triggers for acti ...
14 RESEARCH HEALTHCARE Counselling and Psychotherapy Jour.docxjesusamckone
14 RESEARCH HEALTHCARE Counselling and Psychotherapy Journal October 2018
SEX ADDICTION:
THE SEARCH FOR
A SECURE BASE
JOANNA BENFIELD PROPOSES AN
ATTACHMENT-BASED APPROACH
TO WORKING WITH
SEXUAL COMPULSIVITY
UNDERSTANDING SEX ADDICTION
For many therapists with no specialised
training in psychosexual therapy or
addiction treatment, a client’s
pronouncement that they are a sex addict
might cause alarm bells to ring. A number
of questions are likely to spring to mind:
does such a diagnosis actually exist? If it
does exist, how do we recognise it? And,
what is the most effective way of treating it?
The jury is still out on whether sex
addiction can be seen as a true addiction
or even mental disorder. The World
Health Organisation recently included
‘compulsive sexual behaviour disorder’
as an impulse-control disorder in the
International Classification of Diseases
(ICD-11),1 but the American Psychiatric
Association failed to recognise sex
addiction in the latest version of the
Diagnostic and Statistical Manual of
Mental Disorders (DSM-5).2 There was
disappointment among many sex addiction
therapists at this omission from the DSM-5
as, on a daily basis, they come face to face
with individuals who suffer greatly as
a result of their out-of-control sexual
behaviour. For some clients, this might take
the form of prolific pornography use, while
for others, it might be weekly visits to
escorts or a never-ending stream of
one-night stands. It is not the behaviour
per se that is the marker of sex addiction,
but rather the negative impact that it has
on the individual’s life. For these clients,
rather than being a pleasurable experience,
sex is used compulsively to relieve
negative emotional states and, as a result,
often causes significant distress.3 Despite
this distress, they feel unable to stop the
behaviour. Clients usually only walk into
the therapist’s consulting room once the
addiction has become completely
unmanageable, for example because it
has resulted in loss of employment due
to pornography use on work computers,
financial ruin due to numerous escort
visits or marriage breakdown due to
multiple affairs.
Whether or not we wish to use the term
‘sex addiction’, or prefer to refer to this
as out-of-control sexual behaviour,
hypersexuality or sexual compulsivity,
what is clear is that it poses a significant
problem for an ever-growing number
of people. The availability of free online
pornography and ‘hook-up’ apps has
done nothing to alleviate the problem.
We are likely, therefore, to see an
increasing number of clients walking
through our doors for whom out-of-control
sexual behaviour causes mental and
emotional distress.
Most sex addiction treatment strategies
are based on a cognitive-behavioural
approach.4 Sex addiction therapists will
typically work with clients to help them
to identify their addiction cycle, recognise
the triggers for acti.
14 RESEARCH HEALTHCARE Counselling and Psychotherapy Jour.docxherminaprocter
14 RESEARCH HEALTHCARE Counselling and Psychotherapy Journal October 2018
SEX ADDICTION:
THE SEARCH FOR
A SECURE BASE
JOANNA BENFIELD PROPOSES AN
ATTACHMENT-BASED APPROACH
TO WORKING WITH
SEXUAL COMPULSIVITY
UNDERSTANDING SEX ADDICTION
For many therapists with no specialised
training in psychosexual therapy or
addiction treatment, a client’s
pronouncement that they are a sex addict
might cause alarm bells to ring. A number
of questions are likely to spring to mind:
does such a diagnosis actually exist? If it
does exist, how do we recognise it? And,
what is the most effective way of treating it?
The jury is still out on whether sex
addiction can be seen as a true addiction
or even mental disorder. The World
Health Organisation recently included
‘compulsive sexual behaviour disorder’
as an impulse-control disorder in the
International Classification of Diseases
(ICD-11),1 but the American Psychiatric
Association failed to recognise sex
addiction in the latest version of the
Diagnostic and Statistical Manual of
Mental Disorders (DSM-5).2 There was
disappointment among many sex addiction
therapists at this omission from the DSM-5
as, on a daily basis, they come face to face
with individuals who suffer greatly as
a result of their out-of-control sexual
behaviour. For some clients, this might take
the form of prolific pornography use, while
for others, it might be weekly visits to
escorts or a never-ending stream of
one-night stands. It is not the behaviour
per se that is the marker of sex addiction,
but rather the negative impact that it has
on the individual’s life. For these clients,
rather than being a pleasurable experience,
sex is used compulsively to relieve
negative emotional states and, as a result,
often causes significant distress.3 Despite
this distress, they feel unable to stop the
behaviour. Clients usually only walk into
the therapist’s consulting room once the
addiction has become completely
unmanageable, for example because it
has resulted in loss of employment due
to pornography use on work computers,
financial ruin due to numerous escort
visits or marriage breakdown due to
multiple affairs.
Whether or not we wish to use the term
‘sex addiction’, or prefer to refer to this
as out-of-control sexual behaviour,
hypersexuality or sexual compulsivity,
what is clear is that it poses a significant
problem for an ever-growing number
of people. The availability of free online
pornography and ‘hook-up’ apps has
done nothing to alleviate the problem.
We are likely, therefore, to see an
increasing number of clients walking
through our doors for whom out-of-control
sexual behaviour causes mental and
emotional distress.
Most sex addiction treatment strategies
are based on a cognitive-behavioural
approach.4 Sex addiction therapists will
typically work with clients to help them
to identify their addiction cycle, recognise
the triggers for acti.
Response GuidelinesRead the posts of your peers and respond to.docxronak56
Response Guidelines
Read the posts of your peers and respond to at least two. Try to choose those that have had the fewest responses thus far. For each response, identify other community resources that might be available in a case like the one your peer described. What crisis and confrontation skills might be necessary in assisting with the case presented?
Peer one’s posting
Discuss, while protecting confidentiality, a case example of codependency, dual diagnosis, addiction, or substance abuse you have encountered during your clinical field experience.
Client is a 55-year-old African-American male. He is widowed and currently resides alone. Last year he lost his wife to cancer. The client was diagnosed with HIV approximately 25 years ago but indicated that his wife was not “positive.” The client indicated having multiple concerns with his ability to eat, sleep, function from day to day, and that he is oftentimes afraid of what he might do to himself. Client was asked and also assessed for suicidal ideations, and was administered a PHQ-9 to assess if client should be further evaluated for depression or to determine if current symptoms are a result of “normal” grief. The client also expressed that he has a known opioid addiction to prescription pain pills. While in therapy, the client repeatedly expressed how much he was currently in pain.
Utilizing information from the course readings, describe the approach you used when working with these presenting issues, and how do you determine which approach would be most effective?
The intern and supervisor let the client express himself and his reasons for coming into the facility, as he presented himself to be in a crisis. One particular approach that the intern attempted to use with the client was motivational interviewing by expressing empathy, offering reflective listening, attempting to help the client develop self-efficacy, and attempting to understand where the client is and where he would like to be. The intern wanted to determine and help to strengthen the client’s motivation overcome his addiction in order to link him to other services, such as that could help provide pharmacological treatment, address physical health needs, and locate other social support systems that can be beneficial to helping his current presenting issues.
However, the client came to therapy and dropped out of therapy after the first session and did not keep his follow-up appointment for his HIV care, per the client’s primary physician. Thus, it is hard to decipher if the patient came to therapy because he wanted help dealing with his mental incapacities and his physical health or whether this was an outcry for an attempt to retrieve pain medications. Although Koehn and Cutcliffe (2012) suggest that instilling hope in individuals with addictions is a necessary component for clients to stay in therapy, Wachholtz, Ziedonis, and Gonzalez (2011) suggest that it is oftentimes more difficult to treat patients with ...
Our addiction recovery specialists have extensive experience in treating substance addiction and underlying causes, including potential mental health issues. Call today!
https://www.renaissancerecoverycenter.com/does-addiction-last-a-lifetime/
NKY Hates Heroin Resource Guide 2015 - Thanks to Northern Kentucky Hates Heroin at http://www.nkyhatesheroin.com in Northern Kentucky for putting together this great resource guide. You can also find them on Facebook.
THE (POSH) PATH TO RECOVERY MALIBU'S PASSAGES REHAB ESCHEWS 12-STEP PROGRAMS.
1. THE (POSH) PATH TO RECOVERY MALIBU'S PASSAGES
REHAB ESCHEWS 12-STEP PROGRAMS.
Byline: Valerie Kuklenski Staff Writer
The gate buzzes and opens, revealing a secluded street winding its way up a Malibu hillside marked
by lavish homes and lush landscapes.
Up one driveway, between the marble columns and carved stone lions and just past the koi pond, is
the front door of what could be a palatial residence or a very exclusive ocean-view resort.
But Passages is neither. It is a highly successful drug and alcohol rehabilitation center, according to
proprietors Chris and Pax Prentiss, and possibly the most expensive facility of its kind in the nation.
Too costly for some
It's not just the high price -- $57,550 for 30 days of intensive therapy -- and the reported 84 percent
of its clients overcoming their bad habits that distinguishes this facility. It's that it claims that
success while flatly rejecting the widely accepted 12-step model created by Alcoholics Anonymous.
As tabloid headlines announce this or that celebrity returning to rehab after falling off the wagon,
this father and son are bringing clients through a system they developed themselves, without
professional training but with the knowledge that comes from Chris -- who has a background in real-
estate investing -- having helped Pax overcome a long, life- threatening dependency.
``Basically, I was hooked on heroin and cocaine and alcohol for 10 years,'' said Pax, who at 32 looks
like he hasn't been sick a day in his life. ``I've tried the 12-step program many times; I've probably
been to thousands of meetings.
``And it wasn't until my dad and I started looking for underlying problems in my own life and found
them and started to work on healing those that I was able to get sober and stay sober.''
His grueling story of escalating drug use, being beaten by dealers over unpaid debts, desperate fixes
and, ultimately, resolution and sobriety are recounted in a chapter he wrote for Chris' book ``The
Alcoholism and Addiction Cure: A Holistic Approach to Total Recovery.'' The book also details their
treatment approach and their argument against 12-step programs as demoralizing and too often
hopeless endeavors.
``Ninety-five percent of the people go to one (12-step) meeting and never go back again,'' Chris said.
``I can understand why. They hate them.
``Most people don't like to stand up and declare themselves an alcoholic or an addict. Alcoholism is
not a disease. Alcoholism is merely a symptom of an underlying condition.
Chris, now 70, stood by his son through his multiple attempts to get clean.
``We went to meetings, we went to doctors, we went to psychiatrists, psychologists, drug and
2. alcohol therapists, addiction specialists, rehab -- 90-day, 60-day, 30-day programs,'' Chris recalled
from his second-floor office overlooking the Pacific.
``They were all ineffective. And they were not only ineffective for Pax, they were ineffective for most
of the people in the program. They were relapsing. They'd leave the program, two days later be
back.''
Passages is more than comfortable for its mostly well-heeled patients. Among its three houses and
three guest houses, there is a tennis court, a pool, an expansive lawn overlooking the ocean, a 24/7
gym, surf gear at the ready, and therapy rooms for massage and acupuncture that compare to those
in any high-end day spa. The residents' rooms could be in a nice hotel, and a chef formerly with
Spago prepares meals aimed at pleasing sophisticated palates while healing often malnourished
bodies.
But all those creature comforts are in support of a rigorous program of 20 hours per week per client
of one-on-one therapy aimed at getting to the reason he or she turned to drugs or alcohol in the first
place. (It is all those specialists on staff -- 34 counselors for up to 29 patients -- that requires the
high fee.)
``There are only four causes of addiction and alcoholism,'' Chris explained. ``Chemical imbalance,
events of the past they haven't been able to cope with, current conditions they haven't been able to
deal with, and things they believe that aren't true.''
Felt he couldn't measure up
In Pax's case, it was a feeling that he couldn't measure up to the expectations of a successful father
he adored. For one man, it was dealing with a mugging injury that made him reliant on painkillers,
until he learned to manage his chronic pain with acupuncture. One woman had been sedating herself
nightly for decades by drinking, until a physical exam at Passages determined she had an elevated
heart rate, which they remedied with a prescription in order to eliminate the need for alcohol.
During a recent visit, residents were in different stages of recovery. One had a spring in his step and
clear eyes and greeted visitors warmly. Another slinked out of a therapy room, her hair rumpled and
her eyes looking weary and clouded. But both would be expected to attend the next graduation
ceremony, a gathering in the living room where nearly everyone sits on floor cushions and a large
brass gong is sounded while incense wafts through the air.
Chris Prentiss says many addiction specialists denounce his program as ``snake oil.'' But Passages is
part of a trend toward at least downplaying 12-step therapy, which requires in part turning to God or
a higher power, and looking at the bigger picture of the addict's overall health.
The 12-step approach
Psychotherapist and family counselor Steven M. Orenstein worked in addiction treatment at Cedars-
Sinai Medical Center before opening New Seasons, a residential treatment center in Port Hueneme,
eight months ago. It uses 12-step and intensive one-on-one therapy as well as brain mapping and
neurocognitive rehabilitation.
He says studies have shown that treatment facilities working on the ``mind-body-spirit package''
3. have greater success rates than more conventional methods.
New Seasons uses 12-step group sessions along with personal counseling because Orenstein sees a
benefit in working out those issues with peers without a leader dominating the discussion.
``It's not the perfect solution,'' he says of 12-step programs. ``Their success rates are low. But the
people that do participate in it tend to do well.
``The success rate of treatment overall is not phenomenal, and we're still trying to work on that,''
Orenstein added. ``I think trying to integrate the best of every type of modality that's offered out
there is the best thing we can do at this point.''
Rachel Ballon, a marriage and family therapist whose West Los Angeles practice includes addiction
treatment, says she refers her patients to 12-step programs because she likes the personal
accountability involved.
``Therapy alone -- and I've been a therapist for 26 years -- can't stop people from being alcoholics,
overeaters or whatever the issue is,'' Ballon said. ``I think the tools of the 12-step program are
wonderful, if they don't become an addiction in themselves.''
Twelve-step programs didn't break John Higholt's habit. He had been on heroin for six years, and
then abused marijuana and OxyContin, scoring the pills from hospice workers who stole leftover
medications after their patients died.
``That was my 16th treatment facility,'' said Higholt, 31, an L.A. resident and recent Passages
graduate. ``Every other time, was a guy in a big black robe who told me I had to go. This time I went
on my own.''
Playing the victim
A few sessions with the right therapists were eye-opening for him. ``I spent a long time in the victim
role,'' he said. ``My mom committed suicide when I was 4, and I went into an abusive boarding
school.
``But I learned I am responsible for what happens now. I was powerless over events in my
childhood, but I have no one to blame for what happens to me now but myself,'' Higholt said. ``It
was like getting hit over the head with a hammer -- in a very good way.''
He knows of a couple of individuals who attended Passages with him who have relapsed, but he is
looking ahead with another graduate toward opening a clean-and-sober recording studio and label.
Frank assessment
The strongest testimonial probably comes from Pax, whose idea it was to open Passages. Every
Friday night, while his old acquaintances likely are scrounging for drugs, he is leading a group
session in which he talks frankly about his dark past.
``I was using heroin to cope with my problems. So once I got my problems handled and healed, I no
longer needed the heroin,'' he said.
``I've been sober for six years, and I do not get cravings. And I'm telling you, I tried to get sober for
4. 10 years and I couldn't do it. And I used to struggle with cravings on a day-in, day-out basis. It was
like white-knuckling it.
``Ten years of drugs. It was a long time,'' Pax said.
``I'll say it was,'' his dad added.
Valerie Kuklenski, (818) 713-3750
valerie.kuklenski@dailynews.com
For more information
Passages: www.passagesmalibu.com; (888) 777-8525
New Seasons: www.newseasonsrecovery.com; (866) 697-3766
Alcoholics Anonymous: www.alcoholics-anonymous.org
World headquarters in New York: (212) 870-3400.
Information in L.A.: (323) 936-4343;www.lacoaa.org
CAPTION(S):
5 photos
Photo:
(1 -- cover -- color) A new approach to CLEAN SOBER
Father-son duo spark controversy at Malibu's Passages
(2 -- color) Pax Prentiss, left, and his father, Chris Prentiss, stand on the lawn at the Passages rehab
facility overlooking Point Dume in Malibu. The father-son team started Passages after Chris helped
Pax conquer a 10-year addiction without using a 12-step program.
(3 --5) A treatment room in the Passages rehab facility, above. Pax Prentiss, 32, above right, was
addicted to heroin, cocaine and alcohol for 10 years, before becoming sober with the help of his
father, Chris Prentiss, right. The two, who started Passages, believe addiction is not a disease in
itself, but rather a symptom of underlying dysfunction, such as emotional problems or chronic pain.
Michael Owen Baker/Staff Photographer